Organization Active NPI

Center for Wellness Reference Lab

  • Clinical Medical Laboratory
  • Huntsville, AL
National Provider Identifier
1487038816
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
L4578 Issued in AL
Legal business name
CENTER FOR WELLNESS REFERENCE LAB
Practice address
204 Lowe Ave SE
Suite 9
Huntsville, AL 35801-4262
Phone
(256) 533-8787
Fax
(256) 533-8788
NPI assigned
Jul 15, 2015
Last updated
Jul 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James C. Nix III, M.D.
Title
Managing Partner
Phone
(256) 533-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X L4578 AL Primary

Addresses

Primary practice location

204 Lowe Ave SE
Suite 9
Huntsville, AL 35801-4262

Mailing address

204 Lowe Ave SE
Suite 9
Huntsville, AL 35801-4262
Phone (256) 533-8787

National Provider Directory

National Provider Directory

Locations

204 Lowe Ave SE
Ste 9
Huntsville, AL 35801
Phone (256) 533-8787

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1487038816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LOWE AVE SE",
            "address_2": "SUITE 9",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014262",
            "telephone_number": "256-533-8787",
            "fax_number": "256-533-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LOWE AVE SE",
            "address_2": "SUITE 9",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014262",
            "telephone_number": "256-533-8787",
            "fax_number": "256-533-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WELLNESS REFERENCE LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "256-533-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": "L4578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.